Murdered Insurance CEO Had Deployed an AI to Automatically Deny Benefits for Sick People - easy come easy go


Just over a year before United Healthcare CEO Brian Thompson was murdered this week in Midtown Manhattan, a lawsuit filed against the insurance giant he helmed revealed just how draconian its claims-denying process had become.

Last November, the estates of two former UHC patients filed suit in Minnesota alleging that the insurer used an AI algorithm to deny and override claims to elderly patients that had been approved by their doctors.

The algorithm in question, known as nH Predict, allegedly had a 90 percent error rate — and according to the families of the two deceased men who filed the suit, UHC knew it.

As that lawsuit made its way through the courts, anger regarding the massive insurer's predilection towards denying claims has only grown, and speculation about the assassin's motives suggests that he may have been among those upset with UHC's coverage.

Though we don't yet know the identity of the person who shot Thompson nor his reasoning, reports claim that he wrote the words "deny," "defend," and "depose" on the shell casing of the bullets used to shoot the CEO — a message that makes it sound a lot like the killer was aggrieved against the insurance industry's aggressive denials of coverage to sick patients.

Beyond the shooter's own motives, it's clear from the shockingly celebratory reaction online to Thompson's murder that anger about the American insurance and healthcare system has reached the point of literal bloodlust.

As The American Prospect so aptly put it, "only about 50 million customers of America’s reigning medical monopoly might have a motive to exact revenge upon the UnitedHealthcare CEO."
 
Seems like this AI was just told to say no to every claim so UnitedHealthscam didn't have to pay out at all. Just a moneygrab.
An AI never has moral qualms about denying claims. The AI will never complain. The AI will never commiserate with coworkers about how unethical this all is. The AI will never whistleblower to the government, media or the public. It will just do what it was designed to do.

This is the true AI horror story. An AI with no moral compass or feelings of guilt.
 
The tree of liberty was watered.
I suspect the roots are still dry.

Lazy corporates jumping on the AI train. 90% error rate. Did they even trial it?
Had they wanted something that worked they could have got a better success rate by slapping a giant NOT gate on the output, at least for the denial/approval portion. Its fondness for the red stamp was a feature, not a bug.
 
The AI never gets tired of denying valid claims. The AI never gets burned out from arguing with angry clients about denying valid claims. The AI can deny valid claims 10x faster than the cheapest Indian call center. The AI never takes a break from denying valid claims to wonder if it's the baddie. And best of all, after 50 years of service denying valid claims, you don't have to buy the AI a watch or give it a retirement party or a pension.
But people would have found out, that lawsuit and this guy's death is proof. 90 percent failure rate to grant claims that had been certified by the doctors treating them. People would have put two and two together, or you'd have a reputation for it or there'd be leaks or anything. Staff would have been aware and complicit. People always find out, even if it was only 0.2% of claimants as was reported. If Mr. Thompson didn't deserve to die for his callousness, then he absolutely deserved to die for his stupidity.

https://www.statnews.com/2023/11/14/unitedhealth-class-action-lawsuit-algorithm-medicare-advantage/

Here are the stories of those two patients who filed the lawsuit from the linked article - it's pretty awful, but I've heard stories like this from the US for years now. Managers are alleged to have been absolutely strict about this "algorithm's" determined treatment time.

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TL : DR, "Computah says no".
 
Seems like this AI was just told to say no to every claim so UnitedHealthscam didn't have to pay out at all. Just a moneygrab.
basically same shit as before but instead of being framed as robocall/automated responses it's framed as "AI" so it's spoooky now and "this is why we need to legislate it so only the RIGHT companies and ip holders can use it!" THIS IS WHAT HAPPENS WHEN YOU DO THAT YOU FUCKING TWO FACED IDIOTS.
Fucking ai fearmongering and marketing people, mother fucker...

Anyways, so nothing has changed, save for a guy that set that shit up getting iced.
 
But people would have found out, that lawsuit and this guy's death is proof. 90 percent failure rate to grant claims that had been certified by the doctors treating them. People would have put two and two together, or you'd have a reputation for it or there'd be leaks or anything.
But none of that would happen in the fiscal quarter where they signed off on it. We've been watching the long term get torched for short-term number-go-up for decades now.
 
I don't agree with the shooting, but I understand why it was done.
The way I see it, there was no other way this could've ended. He committed fraud against millions of customers with his crappy AI, and the U.S. Gov paid him billions for it instead of prosecuting him. He was never going to set foot in a courtroom, that's for sure.
 
Life imitates fiction. I've never seen the Joker movie as some grand anthem, a brave calling out of our society, none of that. The plot is that is a city is rampant with crime, and no one cares, until some rich assholes get murdered, and they get played as saints, and the true victims, and a man reaches his breaking point. The media claimed it was though, and now......

I'm looking at my YT feed, and under "Breaking News", something I never chose to add btw (thanks YT), all 8 videos are about trying to identify the shooter. One of them is "Your San Antonio News Source" This did not happen in Texas, I'm sure some rando got murdered in Texas today, why are you covering this? I also do not live in Texas, so the algo isn't showing me this because of that. There was a school shooting today, and yet all videos are about some rich guy getting offed, please help us find him. Activates those almonds.
 
When they find this guy (and they will because they have his DNA and someone with similar DNA will probably rat him out,) I'd like to remind the public that Jury Nullification is a thing.

It would be wild for this guy to get dragged into court, plead Not Guilty, and the jury lets him go. I assume the powers that be wouldn't like that and would declare him guilty anyway, or Epstein him in the jail.
 
Imagine the bounty they are going to have to give for some weasel to give info/turn him in. Most working class Americans would gladly hide this guy.
If I knew the guy I'd buy him a round.
Lazy corporates jumping on the AI train. 90% error rate. Did they even trial it? Why would you even use something like that?
Because the errors benefit the company.
An AI never has moral qualms about denying claims. The AI will never complain. The AI will never commiserate with coworkers about how unethical this all is. The AI will never whistleblower to the government, media or the public. It will just do what it was designed to do.

This is the true AI horror story. An AI with no moral compass or feelings of guilt.
AI is being pushed by amoral corporations for a reason.
But none of that would happen in the fiscal quarter where they signed off on it. We've been watching the long term get torched for short-term number-go-up for decades now.
Fuck you, got mine is ruining the West.
 
But people would have found out, that lawsuit and this guy's death is proof. 90 percent failure rate to grant claims that had been certified by the doctors treating them. People would have put two and two together, or you'd have a reputation for it or there'd be leaks or anything. Staff would have been aware and complicit. People always find out, even if it was only 0.2% of claimants as was reported. If Mr. Thompson didn't deserve to die for his callousness, then he absolutely deserved to die for his stupidity.
Ah, now see YOU see that because you’re a human being and look at things through a lens of short-mid-long term and a moral compass as well. But let me tell you - if line go up next two quarters then it’s approved.
It literally does not matter if line then implodes, if it’s positive short term, it’s getting approved. If you can show head office that line going up, it’s approved. Preferably in flash card/ blunt crayon level of graphics. They’re like magpies, easily gulled by shiny short term gains
If line briefly goes down but then massive improvements over three years? DENIED!
All that matters is that short term gain. Long term gain will ONLy be approved with a sufficiently small or zero short term loss or investment.
I didn’t understand this for a long time and wondered why we didn’t do x or y to save or improve long term. I wondered why stupid short term policies like removing entire (needed) job functions was done. This is why. Line go up tomorrow, Corpo-Grug happy. Corpo Grug no care about tribe future. Only shiny rocks today.
The banality of evil.
If this guy turns out to be handsome and he did this for his ailing mum or granny, he’s getting some serious public approval. They are going to kill him rather than let him take the stand. I hope he’s recorded a video manifesto with that smile, explaining just how much he loved grandma.
Or of course it could be a corporate hit. Who knows
 
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